Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Biggleswade
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Hospitals and Hospital Organisations We Support
Private Hospitals & Day Surgery Units
Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Care Homes & Nursing Homes
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
Specialist & Outpatient Clinics
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Multi-Site Healthcare Groups
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Our Accounting Services for Hospitals
Corporation Tax & Capital Allowances
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Bookkeeping & VAT Partial Exemption
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Statutory & Management Accounts
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Payroll for Clinical & Agency Staff
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension & Consultant Payments
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
Key Accounting Challenges Hospitals Face
Why Hospitals in Biggleswade Choose CruseBurke
Healthcare Finance Expertise
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Reporting Built for Boards
Management accounts by department, site or service line, ready for the board pack each month.
VAT Partial Exemption Handled
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Payroll at Scale
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Compliance Without the Stress
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Fair, Fixed Fees
Clear pricing agreed up front, so you get full expert service with no hidden extras.
Our Simple 3-Step Process for Hospitals
1. Initial Consultation (It’s Free):
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
2. Customised Plan:
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
3. Ongoing Support & Updates:
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Accounting Support Built Around Hospitals
Technology Driven
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
Named Healthcare Accountant
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Ongoing Support
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Experienced Team
Our team has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to CruseBurke
Take a back seat and let our accountants handle everything. Switching partway through the year is straightforward, and we deal with your old accountant for you:
Get in touch
Tell us about your hospital and current accounting requirements.
Letter of Engagement
We’ll send over a simple letter to formalise our partnership and get everything in motion.
Previous Accountants
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We Do the Rest
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
FAQs About Accountants for Hospitals
It depends on the size and structure of your hospital or hospital group, but most engagements cover a combination of annual accounts, bookkeeping, management accounts, payroll, financial reporting and budgeting, along with tax support, Corporation Tax where it applies and VAT support where relevant. We can also help with cash flow planning and with presenting information in a way that owners, directors or investors can actually use. Accounts and returns are prepared in line with the relevant accounting and tax rules, and deadlines for HMRC and Companies House are tracked so nothing slips through unnoticed.
We work with privately run hospitals and hospital businesses of different shapes and sizes. That includes independent hospitals, private hospitals, single-site hospitals, multi-site operators and hospital groups, as well as the management companies and property or equipment-holding entities that sit alongside them. Because a single-site independent hospital and a multi-site operator can have very different cost structures, staffing models and income streams, we start by understanding how your organisation is set up before recommending how the accounting should work.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are paying for and why. The fee reflects the scope of the work, which is influenced by factors such as the number of sites, the volume of transactions, the size of the payroll, how many income streams there are and whether you need management accounts, VAT returns or additional reporting. There are no hidden charges, and we will always explain what is included before anything is agreed.
Yes. Hospital payroll often involves a mix of full-time and part-time clinical staff, non-clinical and administrative teams, bank or agency arrangements, overtime, shift enhancements and pension contributions, which makes accuracy and timeliness important. We can handle payroll processing, PAYE and Real Time Information submissions, payslips and the related records, while keeping bookkeeping up to date so that staff costs, supplier invoices and income are captured properly throughout the year. That means fewer year-end adjustments and clearer information to work from.
Corporation Tax depends on how the hospital business is structured and on the profits and allowable costs involved, so we review the entity structure and the numbers before advising. VAT is rarely a simple picture: the treatment of hospital-related supplies depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and some supplies may be exempt, some taxable and some outside the scope of VAT altogether. Where a hospital has a mixture of income types, partial exemption and input tax recovery may need careful attention, and we can help you work through what applies in your case.
High fixed costs are usually the starting point, with significant payroll, expensive medical equipment, capital expenditure and premises costs that cannot easily be reduced at short notice. Supplier and professional services payments, multiple income streams and the need for reliable management information all add pressure, and cash flow can come under strain even when the hospital is busy. Our role is to keep the records accurate, produce management accounts that highlight what is really happening, and plan ahead for tax, VAT and equipment investment.
Yes, and the process is usually simpler than people expect. Once you decide to move, we can liaise with your existing accountant for the information we need, confirm the position with HMRC where necessary and set up the records in a way that suits your hospital's operations. We will let you know what is needed from you and when, so the transition does not disrupt your day-to-day running or your reporting deadlines.
Get in touch and we will start with a conversation about your hospital or hospital business, covering its structure, activities, staffing, income streams and the accounting or tax issues currently on your mind. From there we will review what you need, explain how we would approach it and set out a clear, fixed-price scope. If you are happy to proceed, we will agree the next steps and get your records organised from the outset. All enquiries are handled in confidence.